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Individual

MR. GERALD PATRICK NOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, CAP

Contact information

Practice address
380 SE 19TH AVE, APT A, DEERFIELD BEACH, FL 33441-5062
(860) 834-0228
Mailing address
380 SE 19TH AVE, APT A, DEERFIELD BEACH, FL 33441-5062
(860) 834-0228

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/11/2016
Last updated
11/11/2016
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